Tony Dejtiranukul (NPI# 1497086953, PAC ID# 1052507506) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1497086953 |
| PAC ID by PECOS | 1052507506 |
| Professional Enrollment ID | I20101123000099 |
| Full Name | Tony Dejtiranukul |
| Address |
990 Belvedere Dr B Lebanon OH 45036-1193 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2008 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 990 Belvedere Dr B, Lebanon, OH 45036-1193 |
| Street Address |
990 BELVEDERE DR B |
| City | LEBANON |
| State | OH |
| Zip | 45036-1193 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul R Juszczyk | Chiropractic | 849 N Broadway, Lebanon, OH 45036 | |
| Charles Horsley | Family Medicine | 1470 N Broadway, Suite 110, Lebanon, OH 45036-1206 | |
| Charles Paul Opperman | Internal Medicine | Alliance Physicians Inc | 1470 N Broadway, Lebanon, OH 45036-1206 |
| Samantha Meyer | Nurse Practitioner | Primary Care Partners of Ohio | 842 Carson Dr, Lebanon, OH 45036-1316 |
| Cheryl Ann Skinner | Family Medicine | Primary Care Partners of Ohio | 842 Carson Dr, Lebanon, OH 45036-1316 |
| Heather R Wells | Nurse Practitioner | Primary Care Partners of Ohio | 842 Carson Dr, Lebanon, OH 45036-1316 |
| Richard Shroder | Optometry | 899 N Broadway St, Lebanon, OH 45036-1361 | |
| Michael Dean Kerby | Optometry | Village Eye Care Inc | 1001 Monroe Rd, Lebanon, OH 45036-1414 |
| Melissa S Kerby | Optometry | Village Eye Care Inc | 1001 Monroe Rd, Lebanon, OH 45036-1414 |
| Chia Hung Joseph Chen | Ophthalmology | 777 Columbus Ave, Suite 8b, Lebanon, OH 45036-1682 | |
| Find all physicians in zip 45036 | |||
| City | LEBANON |
| Zip Code | 45036 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LEBANON + CHIROPRACTIC |
Please comment or provide details below to improve the information on Tony Dejtiranukul.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.